View options
Result details

Results per page
Articles per page View Sort by

1 results matched your search query
Keywords = Hypospadias

  • Open Access Research Article
    Export citation: APA   BibTeX   EndNote   RIS  
    Trends Journal of Sciences Research 2019, 4(4), 141-147. http://doi.org/10.31586/Urology.0404.02
    8 Views PDF Full-text (808.740 KB)  HTML Full-text
    Abstract
    Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods. Materials and Methods: From January 2009 to February 2016, patients
    [...] Read more.
    Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods. Materials and Methods: From January 2009 to February 2016, patients who were less than 18 years old and were operated for hypospadias were retrospectively reviewed and divided into two groups: group I (from January 2009 to February 2012) and group II (from March 2012 to February 2016). All operations were performed by the same pediatric surgeon, and surgical outcomes of the two periods were compared. Results: This study considered150 patients (69 in group I/81 in group II). The Mean operative age was 30.4±32.7 months in group I and 33.6±43.3 months in group II(p=0.309). The selected procedures mainly depended on the subjective anatomical analysis in the operating room and the surgeon’s preference. The mean follow-up duration was 21.7±28.31 months in group I and 13.6±16.6 months in group II (p=0.033).The overall complication rate was 44.9% in group I and 35.8% in group II (p=0.316). The incidence of glanular disruption significantly decreased from 21.7% to 6.2% (p=0.007) because of the wide dissection of the glanular wings and the deep incision of the urethral plate, which led to tension-free sutures for glanular reconstruction. Conclusions: One-stage repair of hypospadias may achieve satisfactory outcomes in cosmetic appearance and voiding function. Surgical outcomes could be improved by increasing practice.  Full article
    Figures

    Figure 1 of 1

    References
    [1]
    Alsharbaini R, Almaramhy H. Snodgrass urethroplasty for hypospadias repair: A retrospective comparison of two variations of the technique. J Taibah Univ Med Sci 2014;9:69-73.
    [2]
    Saafan HA. Two stage repair of proximal hypospadias: review of 33 cases. Ann Ped Surg 2010;6:89-92.
    [3]
    Sozubir S, Snodgrass W. A new algorithm for primary hypospadias repair based on tip urethroplasty. J Pediatr Surg 2003;38:1157-61.
    [4]
    Snodgrass W, Bush N. Tubularized incised plate proximal hypospadias repair: continued evolution and extended applications. J Pediatr Urol 2011;7: 2-9.
    [5]
    Pfistermuller KLM, McArdle AJ, Cuckow PM. Meta-analysis of complication rates of the tabularized incised plate (TIP) repair. J Pediatr Urol 2015;11: 54-9.
    [6]
    Hueber PA, Antczak C, Abdo A, Franc-Guimond J, Barrieras D, Houle AM. Long-term functional outcomes of distal hypospadias repair: a single center retrospective study of TIPs, Mathieu and MAGPI. J Pediatr Urol 2015;11: e1-7.
    [7]
    Snodgrass W, Macedo A, Hoebeke P, Mouriquand PDE. Hypospadias dilemmas: a round table. J Pediatr Urol 2011;7: 145-57.
    [8]
    Snodgrass W, Bush N. Primary hypospadias repair techniques: a review of the evidence. Urol Ann 2016;8:403-8.
    [9]
    Snodgrass W, Bush N. TIP hypospadias repair: a pediatric urology indicator operation. J Pediatr Urol 2011;7: 2-9.
    [10]
    Snodgrass W. Flap versus graft 2-stage repair of severe hypospadias with chordee. J Urol 2015;193: 760-1.
    [11]
    Barbagli G, Baló S, Sansalone S, Lazzeri M. One-stage and two-stage penile buccal mucosa urethroplasty. Afr J Urol 2016;22:11-7.
    [12]
    Barbagli G, Morgia G, Lazzeri M. Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients. BJU Int 2008;102:853-60.
    [13]
    Cendron M. Flap versus graft 2-stage repair of severe hypospadias with chordee. J Urol 2015;193:761-2.
    [14]
    Mungadi IA, Ugboko VI. Oral mucosa grafts for urethral reconstruction. Ann Afr Med 2009;8:203-9.
    [15]
    Dason S, Wong N, Braga LH. The contemporary role of 1 vs. 2-stage repair for proximal hypospadias. J Pediatr Urol 2014;3:347-58.
    [16]
    Duckett JW: Hypospadias. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW, editors. Adult and pediatric urology. 3rd ed. Mosby Year Book, St Louis; 1996, p. 2550.
    [17]
    Badawy H, Fahmy A. Single- vs. multi-stage repair of proximal hypospadias: the dilemma continues. Arab J Urol 2013;11:174-81.
    [18]
    Ghali AMA, El-Malik EMA, Ibrahim AH. One-stage hypospadias repair. Eur Urol 1999;36:436-442.
    [19]
    Uygur MC, Ünal D, Tan MÖ, Germiyanoğlu C, Erol D. Factors affecting outcome of one-stage anterior hypospadias repair: analysis of 422 cases. Pediatr Surg Int 2002;18:142-6.
    [20]
    Al-Adl AM, El-Karamany TM, Bassiouny AS. Distal extension of the midline urethral-plate incision in the Snodgrass hypospadias repair: An objective assessment of the functional and cosmetic outcomes. Arab J Urol 2014;12:116-26.
    [21]
    Spinoit AF, Poelaert F, Praet CV, Groen LA, Laecke EV, Hoebeke P. Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients. J Pediatr Urol 2015;11:70.e1-6.
    [22]
    Keays MA, Dave S. Current hypospadias management: Diagnosis, surgical management, and long-term patient-centered outcomes. Can Urol Assoc J 2017;11(1-2Suppl):S48-53.
    [23]
    Gupta A, Gupta R, Srivastav P, Gupta A. Comparison of interrupted- and continuous-suture urethroplasty in tabularized incised-plate hypospadias repair: a prospective study. Arab J Urol 2017;15:312-8.
    [24]
    Asgari SA, Safarinejad MR, Poorreza F, Safaei Asl A., Mansour ghanaie M, Shahab E. The effect of parenteral testosterone administration prior to hypospadias surgery: a retrospective randomized and controlled study. J Pediatr Urol 2015;11:143.e1-6.
    [25]
    Ozturun K, Bagbanci S, Dadali M, Emir L, Karabulut A. A retrospective analysis of Mathieu and tip urethroplasty techniques for distal hypospadias repair: a 20 year experience. Aech Esp Urol 2017;70:679-87.
    [26]
    González R, Lingnau A, Ludwikowski BM. Results of onlay preputial flap urethroplasty for the single-stage repair of mid- and proximal hypospadias. Front Pediatr 2018. https://doi: 10.3389/fped.2018.00019.
    [27]
    Chandrasekharam VVS. Single-stage repair of hypospadias using longitudinal dorsal island flap: single-surgeon experience with 102 cases. Indian J Urol 2013;29:48-52.
    [28]
    Haxhirexha KN, Castagnetti M. Rigamonti W, Manzoni GA. Two-stage repair in hypospadias. Indian J Urol 2008;24:226-32.
    [29]
    Hassan ME. Two-stage versus sing-stage repair for severe hypospadias with moderate chordee. Ann Pediatr Surg 2014;10:125-9.
    [30]
    Shukla AK, Singh AP, Sharma P, Shukla J. Two stages repair of proximal hypospadias: review of 700 cases. J Indian Assoc Pediatr Surg 2017;22:158-62.
    [31]
    Zheng D, Fu S, Li W, Xie M, Guo J, Yao H et al. The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation: an observational study. Medicine (Baltimore) 2017;96(47):e8238.
Filter options
Publication Date
From to
Refine Publication Date
Subject Areas
Refine Subjects
Article Types
Refine Article Types
Countries / Territories
Refine Countries / Territories